Specialist, Quality Management - Tampa, FL, United States - Physicians Independent Management Services

Description

:
Physicians Independent Management Services, inc. (PIMS) is seeking to hire a highly skilled Code Verification Specialist to join our team.

As a Code Verification Specialist, you will be responsible for reviewing and auditing medical reports for CPT coding accuracy, assigning ICD-10, verifying ICD-10 relation to CPT when necessary, and verifying ICD-10 to the highest specificity.

In addition, you will be required to accurately audit and code all reports before billing; and prepare weekly communications to physicians.

As a professional medical coder, you must keep updated on industry changes. After an initial training period, this position allows for office-based and remote work based on operational necessity. The schedule is flexible within the team's core hours of 6:00 am and 3:30 pm M-F.

PRIMARY RESPONSIBILITIES LIST
Review and audit medical reports for CPT coding accuracy.
Verify ICD-10 relation to CPT when necessary and verify ICD-10 to highest level of specificity.
Code medical reports for CPT and ICD-10 as needed.
Apply CMS MIPS Quality Data Codes, where applicable.
Collaborates with laboratory management to identify and resolve coding issues.
Correspond with the performing physician concerning any discrepancies and/or corrections.
Meet with team management as needed.
Prepare materials to present coding presentations to clients.
Communicate billing or other items of concern with team management.
Review and monitor queue dates.
Ensure all cases are completed in a timely manner.
Must keep updated on industry changes.
Other duties as assigned.

Requirements:
KNOWLEDGE, SKILLS, AND
EXPERIENCEREQUIREMENTS
Knowledge of CPT and ICD-10-CM codes and procedures.
Knowledge of anatomy, physiology, and medical terminology.
Knowledge of business office procedures.
Strong work ethic and attention to detail.
Ability to take initiative and work collaboratively with other team members.
Ability to manage multiple projects simultaneously, prioritize tasks, and meet deadlines.
Ability to work in a high-volume and fast-paced medical billing office.
Skilled preparation of professional correspondence.
Ability to understand and follow written and verbal instructions.
Proficient in use of Microsoft Office suite, particularly the functionality of Microsoft Excel.
Ability to work both independently and as a team member.
Professional manners and emotional intelligence skills.

REQUIRED EDUCATION AND CERTIFICATIONS
Associate degree or equivalent combination of education and experience
Certified Professional Coder (CPC)

EXPERIENCE
~1+ years healthcare experience.
~ Dermatology and/or pathology experience is preferred.

PI902b4ca5e